Intramural pregnancy managed by conservative laparoscopic resection: A case report

Abstract

The uterine myometrium is the rarest location for an ectopic pregnancy. Such an intramural or intramyometrial ectopic pregnancy presents a diagnostic and therapeutic challenge. If undiagnosed, it can lead to life-threatening uterine rupture, which may warrant a hysterectomy, leaving the patient with irreversible infertility. Different treatment modalities have been proposed for the management of this condition. We report a rare case of intramural ectopic pregnancy diagnosed in a 30-year-old woman. It initially manifested as moderate vaginal bleeding at an estimated gestational age (EGA) of 8 weeks 6 days, associated with mild lower abdominal pain. The patient was managed by laparoscopic conservative resection of the ectopic mass.